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NNAAP Review 2022

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What is the order of beginning steps? Knock and wait for permission Introduce yourself and explain procedure Grab necessary supplies and ask for care preferences Wash hands Lock bed wheels and raise bed Close curtains for privacy What is the order of ending steps? Remove privacy measures Lower bed place call light within patient's reach report any changes to nurse document care 00:05 01:33 When should hand hygiene be performed? Before and after patient contact before aseptic technique after exposure to bodily fluids after contact with patient's belongings/environment Acute care 24 hour timeline in hospitals Subacute care given in hospitals Hospice 6 months left to live Medicare for individuals who are 65+, have permanent kidney failure, or certain disabilities Medicaid For low income or disabled individuals OBRA Sets a minimum standard of care ad responsible for ensuring nurse aide's are properly trained What are the resident rights? Quality of Life Services and activities Informed about rights and services Participate in care Make choices Privacy and Confidentiality Security of possessions Visitors Complaints Social Services Ombudsman a legal advocate for residents in long-term care facilities What are the two types of verbal communication? Writing and speaking

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NNAAP Review
What is the order of beginning steps? - Answer Knock and wait for permission
Introduce yourself and explain procedure
Grab necessary supplies and ask for care preferences
Wash hands
Lock bed wheels and raise bed
Close curtains for privacy

What is the order of ending steps? - Answer Remove privacy measures
Lower bed
place call light within patient's reach
report any changes to nurse
document care

When should hand hygiene be performed? - Answer Before and after patient contact
before aseptic technique
after exposure to bodily fluids
after contact with patient's belongings/environment

Acute care - Answer 24 hour timeline in hospitals

Subacute care - Answer given in hospitals

Hospice - Answer <6 months left to live

Medicare - Answer for individuals who are 65+, have permanent kidney failure, or
certain disabilities

Medicaid - Answer For low income or disabled individuals

OBRA - Answer Sets a minimum standard of care ad responsible for ensuring nurse
aide's are properly trained

What are the resident rights? - Answer Quality of Life
Services and activities
Informed about rights and services
Participate in care
Make choices
Privacy and Confidentiality
Security of possessions
Visitors
Complaints
Social Services

Ombudsman - Answer a legal advocate for residents in long-term care facilities

What are the two types of verbal communication? - Answer Writing and speaking

, NNAAP Review
What color pen is allowed on charting? - Answer Only blue or black since it is a legal
document

What is an MDS? - Answer Form for assessing residents
Must be done within 14 days of admission, reviewed every 3 months, and re-done every
year if there is a change in condition

What is the purpose of an incident report? - Answer documentation of an unexpected
event during care
adverse/sentinel event: results in serious injury or death

How do you speak to an individual with visual impairment? - Answer Identify yourself
Let resident know when you come and go
Help read items
face resident and ensure proper lighting
keep items in the right spot

How do you speak to an individual with an auditory impairment? - Answer Use simple
words
Face resident when speaking
eliminate background sound
report issues with hearing higher pitched sounds, soft consonants, and issues hearing
with background noise

Defense Mechanisms - Answer denial
displacement: transfer of feeling
Projection: seeing feelings in others
Rationalization: making excuses
Regression
Repression

What are signs of disorientation? - Answer Unable to identify self caregiver, location,
and time

When is disclosure (w/out consent) of PHI allowed? - Answer Public health: prevent
injury/infection
Abuse and Neglect
Disaster relieve
Coroners and Funeral directors
Organ donation
Worker's Comp

What are the three main blood borne disease risks? - Answer HIV/AIDS
HEPB: only one with vaccine
HEPC

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